scholarly journals Adverse Childhood Experiences, Other Psychosocial Sources of Adversity, and Quality of Life in Vulnerable Primary Care Patients

2020 ◽  
Keyword(s):  
Quality Of Life ◽  
Primary Care ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Primary Care Patients

scholarly journals The prevalence and clinical correlates of adverse childhood experiences in a cross-sectional study of primary care patients with cardiometabolic disease or risk factors

2019 ◽  
Vol 19 (1) ◽  
Author(s):  
Robert G. Maunder ◽  
David W. Tannenbaum ◽  
Joanne A. Permaul ◽  
Melissa Nutik ◽  
Cleo Haber ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Behavior Change ◽  
Adverse Childhood Experiences ◽  
Cardiometabolic Risk ◽  
Cardiometabolic Disease ◽  
Childhood Experiences ◽  
Cardiometabolic Diseases ◽  
Adverse Childhood ◽  
Primary Care Patients

Abstract Background Adverse childhood experiences (ACEs) are associated with risk of poor adult health, including cardiometabolic diseases. Little is known about the correlates of ACEs for adults who have already developed cardiometabolic diseases, or who are at elevated risk. Methods Adult primary care patients with cardiometabolic disease (hypertension, diabetes, stroke, angina, myocardial infarction, coronary artery bypass graft, angioplasty) or with a risk factor (obesity, smoking, high cholesterol, family history) were surveyed regarding ACEs, psychological distress, attachment insecurity, quality of life, behavior change goals, stages of change, and attitudes toward potential prevention strategies. Results Of 387 eligible patients, 74% completed the ACEs survey. Exposure to ACEs was reported by 174 participants (61%). Controlling for age, gender, relationship status and income, number of ACEs was associated with psychological distress (F = 3.7, p = .01), quality of life (F = 8.9, p = .001), attachment anxiety (F = 3.4, p = .02), drinking alcohol most days (F = 4.0, p = .008) and smoking (F = 2.7, p = .04). Greater ACE exposure was associated with less likelihood of selecting diet or physical activity as a behavior change goal (linear-by-linear association p = .009). Stage of change was not associated with ACEs. ACEs exposure was not related to preferred resources for behavior change. Conclusions ACEs are common among patients at cardiometabolic risk and are related to quality of life, psychological factors that influence cardiometabolic outcomes and behavior change goals. ACEs should be taken into account when managing cardiometabolic risk in family medicine.

scholarly journals Adverse Childhood Experiences, Health‐Related Quality of Life, and Chronic Disease Risks in Rural Areas of the United States

2018 ◽  
Vol 2018 ◽  
pp. 1-15 ◽  
Author(s):  
Amy Chanlongbutra ◽  
Gopal K. Singh ◽  
Curt D. Mueller
Keyword(s):  
Quality Of Life ◽  
Rural Areas ◽  
Adverse Childhood Experiences ◽  
The United States ◽  
Poor Mental Health ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
Related Quality ◽  
Health Related

Exposure to adverse childhood experiences (ACEs) is associated with increased odds of high‐risk behaviors and adverse health outcomes. This study examined whether ACE exposure among individuals living in rural areas of the United States is associated with adult activity limitations, self‐reported general poor health status, chronic diseases, and poor mental health. Data from the 2011 and 2012 Behavioral Risk Factor Surveillance System (BRFSS) (N=79,810) from nine states were used to calculate the prevalence of ACEs in rural and urban areas. ACE scores were determined by summing 11 survey items. Multiple logistic regression was used to examine the association between ACE scores and health outcomes, including self‐reported general health status, chronic diseases, and health‐related quality of life. Approximately 55.4% of rural respondents aged ≥18 years reported at least one ACE and 14.7% reported experiencing ≥4 ACEs in their childhood, compared to 59.5% of urban residents who reported at least one ACE and 15.5% reporting ≥4 ACEs. After adjusting for sociodemographic covariates, compared to rural respondents who never reported an ACE, rural respondents who experienced ≥1 ACEs had increased odds of reporting fair/poor general health, activity limitations, and heart disease, which is consistent with previous studies. The odds of experiencing a heart attack were higher for rural residents reporting 2 and ≥4 ACEs; the odds of diabetes were higher for those with 3 ACEs; and the odds of ever having asthma or poor mental health was higher for those with ≥3 ACEs. Although individuals in rural areas are less likely to experience ACEs, over half of rural respondents reported experiencing an ACE in childhood. Programs aimed at preventing ACEs, including child maltreatment, can benefit rural areas by reducing adult morbidity and increasing quality of life.

Self-reported adverse childhood experiences and quality of life among children in the two last grades of Dutch elementary education

2019 ◽  
Vol 95 ◽  
pp. 104051 ◽  
Author(s):  
Remy M. Vink ◽  
Paula van Dommelen ◽  
Sylvia M. van der Pal ◽  
Iris Eekhout ◽  
Fieke D. Pannebakker ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Elementary Education ◽  
Adverse Childhood Experiences ◽  
Childhood Experiences ◽  
Adverse Childhood

Abstract 16774: Adverse Childhood Experiences Reported by Adults With Congenital Heart Disease

Circulation ◽  
2020 ◽  
Vol 142 (Suppl_3) ◽  
Author(s):  
Marshall A Taunton ◽  
Sheldon Levy ◽  
Adrienne H Kovacs ◽  
Abigail M Khan
Keyword(s):  
Quality Of Life ◽  
Congenital Heart Disease ◽  
Heart Disease ◽  
Health Outcomes ◽  
Adverse Childhood Experiences ◽  
Congenital Heart ◽  
Childhood Experiences ◽  
Adverse Childhood ◽  
The Impact

Introduction: Adverse childhood experiences (ACEs), such as witnessing domestic abuse or experiencing physical/sexual abuse, are associated with poorer long-term health outcomes, including acquired cardiovascular disease. This study offers the first investigation of ACEs in adults with congenital heart disease (CHD). Methods: In this cross-sectional study, adult CHD outpatients completed the ACE Questionnaire, the Relationship Scales Questionnaire, the Perceived Stress Scale, and a 0 - 100 linear analogue scale of quality of life. Total scores on the ACE Questionnaire range from 0 - 10 (a point for each ACE reported) and scores ≥ 4 are associated with poorest health outcomes. We performed correlations, t-tests, and analyses of variance to explore relationships between ACE Questionnaire scores and demographics, medical variables, and other survey scores. Results: A total of 100 patients were enrolled in the study (40 ± 13 years; 60% female). Ninety percent had defects of moderate or great complexity and 79% were categorized as American Heart Association anatomy + physiology stage B, C or D (i.e., some degree of symptoms and/or functional impairment). Total scores on the ACE Questionnaire ranged from 0 - 9, with a mean of 2.6 ± 2.5; 30% reported ≥ 4 ACEs. The most frequently reported ACEs were parental divorce (46%), emotional abuse (42%), and parental substance abuse problem (32%). ACE Questionnaire scores did not differ as a function of age, sex, defect complexity, or anatomy + physiology stage. However, total ACE score was significantly correlated with all 4 relationship styles (secure, preoccupied, dismissive and fearful; p-values < 0.05). Quality of life scores were lower among those with elevated ACEs, although this did not reach statistical significance (69 vs. 76, p = 0.07). Conclusion: It is well accepted that adults with CHD face many health-related challenges throughout their lives. This study serves as an important reminder to providers that many patients will also experience other significant (and potentially traumatic) stressors in childhood. Further research is needed to determine whether the impact of ACEs on adults with CHD extends beyond relationship and stress outcomes and also includes cardiac morbidity and mortality.

scholarly journals Adverse childhood experiences and health-related quality of life in adulthood: revelations from a community needs assessment

2015 ◽  
Vol 13 (1) ◽  
Author(s):  
Abraham A. Salinas-Miranda ◽  
Jason L. Salemi ◽  
Lindsey M. King ◽  
Julie A. Baldwin ◽  
Estrellita “Lo” Berry ◽  
...  
Keyword(s):  
Quality Of Life ◽  
Adverse Childhood Experiences ◽  
Health Related Quality ◽  
Childhood Experiences ◽  
Community Needs ◽  
Community Needs Assessment ◽  
Adverse Childhood ◽  
Related Quality ◽  
Health Related
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